Mallory Community Health
Organization Active NPI Federally Qualified Health Center (FQHC) · Lexington, MS
NPI 1508312992 · NPPES record last updated Dec 30, 2020
Key facts
- NPI
- 1508312992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- MALLORY COMMUNITY HEALTH
- Practice address
- 17280 Highway 17
Lexington, MS 39095-6614 - Phone
- (662) 834-1857
- Fax
- (662) 834-1859
- NPI assigned
- Aug 26, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Clyde Rozell Chapman II, M.D.
- Title
- Chief Exexcutive Officer
- Phone
- (662) 834-1857
Practitioners 5
-
Olexis Haymon, NP
-
Jennifer O Hicks, M.D.
-
Abiola Nike Oke, MD
-
Victoria Sturdivant, CFNP
National Provider Directory
Locations
33795 Highway 12 W
#C
Durant, MS 39063
Phone (662) 653-0505
201 E Washington St
#C
Greenwood, MS 38930
Phone (662) 453-4522
96 Rockport Rd
Lexington, MS 39095
Phone (662) 834-0532
300 Yazoo St
#C
Lexington, MS 39095
Phone (662) 834-5000
9715 Highway 12
#C
Tchula, MS 39169
Phone (662) 235-4731
110 Mercer St
Tchula, MS 39169
Phone (662) 235-4731
201 Magnolia St
#C
Vaiden, MS 39176
Phone (662) 484-5470
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
17280 Highway 17
Lexington, MS 39095-6614
Mailing address
PO Box 479
Lexington, MS 39095-0479
Phone (662) 834-1857
Other names
- Mallory Mobile RV Clinic
Other providers in Lexington, MS
- Magnolia Medical Supplies, LLC
- Mallory Community Health
- Mallory Community Health
- Mallory Community Health
- Mallory Community Health
- Mallory Community Health
- Mallory Community Health
- Mallory Community Health
- Mallory Community Health Center
- Angelee B Mayo
All providers in Lexington, MS · Federally Qualified Health Center (FQHC) in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.